This certificate entitles the bearer to an intitial
evaluation for only $20.00
(a $250.00 value)

(414) 332-8888

Expires: December 31st, 2010
Certificate must be presented at initial visit.

The patient and any other person responsible, has the right to refuse to pay, cancel payment or be
reimburserd for payment for any other service, examination or treatment which is performed as a
result of and within 72hrs of responding to the advertisement for the
free service, examination or treatment.